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Neighborhood social environment and risk of death: multilevel evidence from the Alameda County Study.

Yen IH, Kaplan GA.

Behavioral Risk Factors Training Program, School of Public Health,
University of California, Berkeley 94720-7360, USA.

Recent reports suggest the importance of associations between residential area characteristics and health status, but most research uses only census data to measure these characteristics. The current research examined the effect of overall neighborhood social environment on 11-year risk of death. On the basis of data, the authors developed a three-component neighborhood social environment scale:

commercial stores;
population socioeconomic status; and
environment/housing.

Data from the 1983 wave of the Alameda County Study (n = 1,129) and deaths over 11 years were analyzed with two-level logistic regression models. Age- and sex-adjusted risk of death was higher for residents in low social environment neighborhoods (odds ratio = 1.58, 95% confidence interval 1.15-2.18). Mortality risks were significantly higher in neighborhoods with a low social environment, even after account was taken of individual income level, education, race/ethnicity, perceived health status, smoking status, body mass index, and alcohol consumption.

PMID: 10342798 [PubMed - indexed for MEDLINE]

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Neighborhood social environment and risk of death: multilevel evidence from the Alameda County Study.